Inspection on 08/12/06 for Camilla Road, 56

This inspection was carried out on 8th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Camilla Road, 56 16/12/05

Camilla Road, 56 20/07/05

Camilla Road, 56 08/02/05

Camilla Road, 56 18/06/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Camilla Road, 56 56 Camilla Road London SE16 3NL Lead Inspector Ms Alison Pritchard Unannounced Inspection 8 December 2006 3.45pm th Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Camilla Road, 56 Address 56 Camilla Road London SE16 3NL Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0207 231 7878 www.choicesupport.org.uk Choice Support Miss Barbara Eileen Francis Care Home 2 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2 (TWO) people male or female with physical and learning disabilities. Date of last inspection 16th December 2005 Brief Description of the Service: 56 Camilla Road is a residential care home providing accommodation and care services for two people with learning disabilities. It is part of a larger organisation, Choice Support Southwark, which operates many other homes in the borough. The home, a 3 bed roomed house, is set out over two floors. The bedrooms are located on the first floor. The ground floor and the rear garden are wheelchair accessible. Habinteg Housing Association owns the property. It is located in a residential street, close to shops, public transport and community services. The building blends in well with other houses on the same estate. The two service users (a man and a woman) have lived in the home for many years. At the time of the inspection there were no vacancies. Although the home has not had a new admission in recent years a Service Manager stated that potential residents would be given information about the home and the services available through the service guide and statement of purpose. These documents could be made available in a range of formats including pictures, widgets, symbols or audio-tape. The Manager would also provide a copy of the annual report of Choice Support which on DVD. CSCI inspection reports would also be supplied by the home to potential service users. The current monthly fees for the home range between £4,000 and £8,000 depending on the amount of individual care that the resident requires. No additional charges are made. Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced, lasted approximately four hours and was carried out over a mid afternoon and early evening in early December 2006. The inspection methods included observation of care practice, discussion with staff and the Manager of the home, inspection of service user files, as well as a range of records. Involved professionals were sent survey forms so that they could contribute to the inspection process. At the time of writing none have been returned. The CSCI also has access to information about the home gathered through notifications from the home. All of this information has been taken into account in compiling this report. Neither of the residents are able to communicate verbally so unfortunately it has not proved possible to include specific things that they said to the inspector. Time was spent observing their activities and their interaction with staff. The inspection visit was well facilitated by the Manager and staff who were helpful and courteous throughout the process. What the service does well: What has improved since the last inspection? What they could do better: Reorganisation of files which is to take place early in 2007 will ensure that essential information about residents is reorganised so it is easier to access. Information held in residents’ files must be up to date. The team needs to be sure that they work consistently as it was found that skills teaching programmes were not carried out regularly. Improvements are needed to the system to record residents’ medical appointments to make sure that they attend appointments regularly. Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 6 Some food items, bought fresh and then frozen, had not been labelled with the date of freezing. This can make it difficult to be sure that the food is suitable to eat and is not stored for too long. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The policies and procedures for admission ensure that both the home and the potential resident have enough information to decide whether it would be an appropriate place for the person to live. EVIDENCE: There have been no new admissions to the home for some time and none are planned, currently there are no vacancies at the home. The Manager stated that potential residents would be given information about the home and the services available through the service guide and statement of purpose. These documents could be made available in a range of formats including pictures, widgets, symbols or audio tape. The Manager would also provide a copy of the annual report of Choice Support which on DVD. CSCI inspection reports would also be supplied by the home to potential service users. The admission policy of Choice Support includes provision for introductory visits to take place. The policy of the managing organisation is for social work assessments to be obtained prior to admission and for placements to be subject to a twelve week trial period. Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The residents benefit from the care planning system but review is needed of their wishes for the future and the home must be clear about how they might be achieved. The home ensures that people who are concerned about the residents are involved with decisions about their lives. EVIDENCE: The person centred planning model is used for care planning. Reviews of the placements and the care plans had been held for the two residents in October 2006. The residents need the help of other people to make sure that their needs are taken into account and their best interests promoted. Each resident has a key worker who is involved in planning meetings. Key workers and the manager of the home, advocates and social work staff are involved in planning decisions, appropriate for each resident’s situation. Some of the information in a resident’s file was out of date and needed to be amended, for example the details of the resident’s social worker needed to be updated. In the same file were two sheets headed ‘wishes for the future’. One Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 10 of the sheets was dated November 1998, and the second was dated June 2004, with a hand-written note entry dated October 2006. Two of the three items noted as ‘wishes’ had remained unchanged between November 1998 and October 2006. This is the subject of a recommendation of this report. Some of the guidelines had been reviewed and updated in October 2006. The amendments had been made by hand and in some instances the reviewed documents were difficult to read. The Registered Manager explained that the home’s printer had not been working when the amendments were made. She agreed that the documents needed to be retyped. The manager also said that the files were to be reorganised soon as a new format for the arrangement of files is to be introduced soon by Choice Support. It is anticipated that this will make accessing information easier. The managing organisation has links with a service called ‘Customer Watch’ which is a forum through which people with learning disabilities can express their views on the services provided through Choice Support (Southwark). This ensures that the opinions of service users generally are included in the overall planning of the organisation. A risk assessment about one of the resident’s behavioural traits was seen on the file. It had been recently reviewed and was appropriate for its purpose. Residents’ personal information is stored with due regard for confidentiality. Choice Support is registered under the Data Protection Act and there is a confidentiality policy to ensure that staff handle residents’ personal information with care. Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The residents lead active lives and are supported to follow a wide range of activities at home and in the local community. The activities are appropriate for their ages and cultures. EVIDENCE: A variety of guidelines were seen to support the residents in learning skills and pursuing activities. This allows a consistent approach which will benefit the residents. However there was evidence of a lack of consistency in relation to how often the skills teaching is put into practise. For example on a chart to monitor the use of the guidelines to assist a resident with learning how to wash up there had been no entries since 14th November 2006, there was no indication as to why this might be the case. On another monitoring chart there had been an entry made on 14th November 2006 which was the first for a year. The use of the programmes and the monitoring charts needs review so that the staff team work consistently with residents in assisting them to learn and maintain skills. Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 12 The residents follow a wide range of activities which are age appropriate, valued, in keeping with their cultures and in the local community. The activities include line dancing, sailing, going to see Millwall football games, sensory activities, attending music classes, keep fit, cookery classes and going to the cinema. In the home residents’ activities include sessions with a visiting music therapist, watching television, listening to music, using the sensory room, massage, cookery. Residents also assist with household tasks, such as laundry, sandwich making, washing up and ironing. One of the residents had recently returned from holiday to Tunisia, a member of staff who accompanied him said that the resident had enjoyed the trip. The other resident had not had a holiday this year, but the Registered Manager stated that two holidays would be arranged for her during 2007. The home has been proactive in This demonstrates appreciation of appropriate for the home, stating hours and informing visitors of visitors’ book is used properly. making contact with relatives of residents. their emotional needs. The visitors’ policy is that visits are possible between reasonable the ‘house rules’ regarding smoking. The Staff demonstrated awareness of residents’ emotional needs and treated them, throughout the inspection, with respect and regard for their dignity. A member of staff spoken to during the inspection was knowledgeable about residents’ preferences in relation to activities and respected residents’ expressed wishes not to join in activities and to have privacy. The meals provided are recorded. The record showed that a good range of meals is provided. The meals include fresh items, fruit and vegetables. Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ health care needs are well looked after, although a record of a recent dentist appointment for one resident could not be found. There are good arrangements for dealing with medication. EVIDENCE: Observation of staff interaction with residents showed that they have respect for each other. The staff team is mixed, as is the resident group. As there is often just one person on duty at times when personal care is provided this allows same gender care to be provided for only some of the time. Both of the residents were suitably dressed during the inspector’s visit to the home and their appearance enhanced their dignity. The files showed that the residents have been seen and received advice from a range of health care professionals appropriate to their specialist needs. Some of the information on one of the files was rather out of date and as a result it was difficult to track the most recent appointment with the dentist, as the most recent note related to an appointment in January 2005. Although it was clear that there had been appointments in the last twelve months with the GP, Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 14 neurologist, optometrist and chiropodist. This indicates the need for a better tracking system to monitor when appointments have taken place. None of the residents is able to self medicate so the home looks after this area of their care. Medication is stored safely. A blister pack system is used. Records of medication administration showed that the charts are well completed, with no unexplained gaps. Each resident has had a medication review in the last six months, including medication that is taken on an ‘as needed’ basis and ‘over the counter’ medications. The Registered Manager explained that although one resident no longer takes an item of medication it still appears on her medication administration chart because her reaction is still being monitored. Staff members’ competence for the administration of medication is assessed using a pro forma. Temporary staff from the Choice staff bank or agency are given a thorough briefing on the medication system used in the home. Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The residents benefit from appropriate and safe arrangements for dealing with complaints and the protection of residents. EVIDENCE: There have been no complaints made to the home or to the CSCI since the last inspection. The complaints procedure of the managing organisation is in keeping with the national minimum standards, and is included in the statement of purpose and service user guide. The Manager of the home has recently undertaken training in the operation of the Southwark Social Services Adult Protection procedure. She has ensured that other members of the team are informed of the procedure through a recent staff meeting. Staff who join Choice Support receive input on adult protection matters as part of their induction. There are safe procedures for dealing with residents’ finances. The procedures ensure that there is clarity about who is responsible for valuables held on behalf of residents and that these are checked at staff handover times. The manager was carrying out checks of the records of residents’ finances at the time of the inspection. Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The residents benefit from the building which is clean, tidy and homely. EVIDENCE: The building is located on a quiet residential street, close to shops and public transport links. There is a parking space to the front and on-street parking is available. The home is domestic in its layout, decoration and furnishings. The ground floor consists of a kitchen/diner, a lounge, a sensory room with specialist equipment, and a shower/toilet. There is also a bathroom/toilet on the first floor. There are three bedrooms on the upper floor, one of which is used as an office/sleep-in room by staff. Residents’ bedrooms are decorated and personalised to reflect their interests and tastes.Communal rooms are of a good size, with sufficient seating for both residents and either staff or guests. There is an attractive garden to the rear of the home which is easily accessed by residents. The garden to the front of the home could be further developed, the Registered Manager stated that it is her plan to do so. When the inspector visited the home it was clean, tidy and odour free. Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There are trained staff on duty in sufficient numbers to meet residents’ needs. The residents benefit from a stable staff team which is supported and supervised. EVIDENCE: Staff were respectful in their conversations with residents. In discussions staff showed knowledge of the residents’ needs, preferences and communication methods. The staff team is stable, although there is one vacancy on the team efforts are made to ensure that bank staff who work at the home are familiar to the residents and with their needs. There are three permanent support staff in addition to the Registered Manager. The recruitment records were not inspected on this occasion but were seen by the inspector in August 2005. At that time the records were in good order. No new members of staff have joined the team since then. Of the three support staff one has achieved NVQ 2 and a second is about to begin the course. Additional training is available through Choice Support. In Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 18 the last three months the staff have received training in fire safety, health and safety and challenging behaviour. On the day of the inspection visit there were two people on duty and working with the residents between 9am and 3.30pm. Before 9am and after 3.30am there is one member of staff working in the home. at night time one member of staff sleeps in the home. Additional support is available in an emergency through the on call system. The staffing levels are appropriate for the needs of the residents. The Registered Manager was involved with office-based work during the day and the early evening. The manager said that she arranges the rota to ensure that there are sufficient staff in duty to allow residents to join in their planned activities. The formal systems for supporting staff include supervision at approximately six weekly intervals and regular team meetings. Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The Registered Manager has been given additional responsibility for managing another home in the area. An application has been made for CSCI agreement through the registration process. The residents’ interests are safeguarded by ensuring that the home is visited each month by manager from Choice Support. Residents are protected through attention to health and safety matters, but some aspects need improvement. EVIDENCE: The manager of the home has been registered under the Care Standards Act since 2003. She is working towards achieving NVQ level 4. The indications of the inspection are that management arrangements were good and that staff are supported in their work. There is a vacancy at the service manager level and so the Registered Manager is currently supported by the Regional Director of Choice Support. The post will be filled in January 2007. The Registered Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 20 Manager attends monthly managers’ meeting which are a forum for peer support. The management arrangements at the home changed shortly before the inspection took place. The changes mean that the manager is now responsible for the management of 56 Camilla Road and another home in Rotherhithe. A deputy manager will also work in the two homes. The CSCI has had correspondence with Choice Support about this issue. Choice Support has confirmed that applications are to be made for registration as it is required by the Care Standards Act that a person who manages more than one establishment must make a separate application in respect of each of them. The last report on file in the home of a manager’s visit as required by Regulation was dated July 2006. The Registered Manager confirmed that the visits had taken place, but that the reports had not been filed. Regular checks of health and safety matters in the home are carried out, including checks of the operation of the fire safety systems, electrical appliances, the gas system, water temperatures, hazards and fire drills. At the time of the inspection visit the cupboard storing chemical cleaning products had been left unlocked. This was pointed out to the Manager of the home who locked the cupboard to ensure residents’ safety. A fire risk assessment is in place and is dated 9th November 2006. The only matter which was noted as needing attention in relation to health and safety was the need to ensure that fresh food, frozen after purchase, is labelled with the date of freezing to ensure that safe food hygiene practices are followed. Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 2 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 3 X X 2 X Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard YA6 YA11 Timescale for action 17(1)(a) The Registered Manager must 01/01/07 (3)(a)sch4 ensure that the information in para3(c) residents’ file is accurate. 12(1)(b) The Registered Manager must 01/01/07 ensure that staff work consistently and that skills teaching programmes are carried out regularly. 13(1)(b) The Registered Manager must 01/01/07 ensure that the system to monitor the residents’ medical appointments is improved. 16(2)(j) The Registered Person must 01/01/07 ensure that fresh food which is frozen after purchase is labelled with the date of freezing. Regulation Requirement 3. YA19 4. YA42 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations The Registered Manager should ensure that residents’ personal goals are reviewed and amended as necessary. Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection River House 1 Maidstone Road Sidcup Kent DA14 5RH National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Camilla Road, 56 DS0000007109.V306471.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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